COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC (NPI# 1366433815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366433815 |
| Entity Type | Organization |
| Organization Name | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC |
| Other Organization Name | NEWPORT PHARMACY |
| Practice Address |
2015 E Newport Ave Ste M121 Milwaukee WI 53211-2984 |
| Mailing Address |
4425 N Port Washington Rd Attn: Csmcp Clinic Credentialing Glendale WI 53212-1082 |
| Practice Telephone | 4149613464 |
| Practice Fax Number | 4149615378 |
| Mailing Telephone | 4142911303 |
| Mailing Fax Number | 4142782809 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2011-06-09 |
| Authorized Official Name | MS. RHONDA ANDERSON (CFO) |
| Authorized Official Telephone | 4142704850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 8525-042 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33213400 | 05 |
| Other Name | Type Code |
|---|---|
| Newport Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811926132 | Columbia St. Mary's Hospital Milwaukee, Inc | Psychiatric Unit | 2323 N Lake Drive, Milwaukee, WI 53211-4508 | 2006-06-30 |
| 1194330712 | Columbia St. Mary's Hospital Milwaukee, Inc | Family Medicine | 375 W River Woods Pkwy, Glendale, WI 53212-1080 | 2020-09-10 |
| 1215945456 | Columbia St. Mary's Hospital Milwaukee, Inc | Clinic/Center | 9233 N Green Bay Rd, Brown Deer, WI 53209-1103 | 2006-08-03 |
| 1710928221 | Columbia St. Mary's Hospital Milwaukee, Inc | Clinic/Center | 13111 N Port Washington Rd, Mequon, WI 53097-2416 | 2006-06-08 |
| 1023064482 | Columbia St. Mary's Hospital Milwaukee, Inc | General Practice | 2350 N Lake Dr, Milwaukee, WI 53211 | 2006-05-26 |
| 1659357424 | Columbia St. Mary's Hospital Milwaukee, Inc | Pharmacy | 732 N Jackson St, Suite 100, Milwaukee, WI 53202-4620 | 2005-12-22 |
| Street Address |
2015 E NEWPORT AVE STE M121 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-2984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295967511 | Kim Ann Heim | Nurse Practitioner | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2009-08-20 |
| 1497937999 | Kristine M. Dunlap | Psychologist | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2007-11-27 |
| 1144417023 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 2015 E Newport Ave, Milwaukee, WI 53211-2984 | 2007-09-25 |
| 1144428269 | Craig A. Siverhus, Md Sc | Surgery | 2015 E Newport Ave, Suite 305, Milwaukee, WI 53211-2984 | 2007-07-10 |
| 1487852505 | Joseph P Regan Md Sc | Surgery | 2015 E Newport Ave, Suite305, Milwaukee, WI 53211-2984 | 2007-07-10 |
| 1457558603 | Alexander C Stolarski | Psychologist | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2007-06-29 |
| 1255535324 | Milwaukee Urological Sc | Urology | 2015 E Newport Ave, Suite 500, Milwaukee, WI 53211-2984 | 2007-06-13 |
| 1689885303 | James R. Rice | Registered Nurse | 2015 E Newport Ave, Suite 409, Milwaukee, WI 53211-2984 | 2007-05-24 |
| 1013037969 | Robert Stanley Stemberger | Dentist | 2015 E Newport Ave, 405, Milwaukee, WI 53211-2984 | 2007-03-31 |
| 1619018819 | Midwest Spinal Center | Orthopaedic Surgery | 2015 E Newport Ave, Suite 605, Milwaukee, WI 53211-2949 | 2007-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355002 | Long Life Pharmacy 2 LLC | Pharmacy | 1225 W Historic Mitchell St Ste 217, Milwaukee, WI 53204-3382 | 2020-11-01 |
| 1790333623 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200w, Milwaukee, WI 53226-3522 | 2019-09-04 |
| 1225686405 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200c, Milwaukee, WI 53226-3522 | 2019-08-30 |
| 1093287237 | Del Mar Pharmacy Sc | Pharmacy | 1000 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 | 2018-12-28 |
| 1154805422 | Wellnessscriptrx | Pharmacy | 159 N Jackson St Ste 105, Milwaukee, WI 53202-6169 | 2018-09-21 |
| 1437672797 | Life Change Rx LLC | Pharmacy | 1844 S 15th St, Milwaukee, WI 53204-3225 | 2017-07-19 |
| 1265965198 | Hayat Pharmacy 10 LLC | Pharmacy | 5308 W Burleigh St, Milwaukee, WI 53210-1622 | 2017-04-07 |
| 1053766071 | Hayat Pharmacy 9 LLC | Pharmacy | 8434 W Silver Spring Dr, Milwaukee, WI 53225-2824 | 2016-04-27 |
| 1780039024 | Medpack Pharmacy | Pharmacy | 7324 W Capitol Dr, Milwaukee, WI 53216-2062 | 2016-04-24 |
| 1972989861 | Walgreens | Pharmacy | 3528 S Clement Ave, Milwaukee, WI 53207-3502 | 2015-08-03 |
| Find all providers in MILWAUKEE | ||||
Please comment or provide details below to improve the information on COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.